Provider Demographics
NPI:1215475843
Name:BISHAY, JOSEPH KYRILLOS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KYRILLOS
Last Name:BISHAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31201 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4422
Mailing Address - Country:US
Mailing Address - Phone:888-918-5024
Mailing Address - Fax:
Practice Address - Street 1:31201 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 2
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4422
Practice Address - Country:US
Practice Address - Phone:888-918-5024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist